1st UMS INTERNATIONAL NURSING CONFERENCE IN CONJUNCTION WITH 11TH INTERNATIONAL NURSING STUDENTS’ FORUM. A view into the future of nursing: Nursing Transformation towards IR-4.0; Held at the Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia; On 6-8th March 2020
Introduction: Diabetic foot is an alarming complication of Diabetes Mellitus, results from neurological and vascular insufficiencies. If untreated, it may lead to amputation, resulting in a significant reduction in the quality of life and increase the risk of early death. Proper foot care with daily foot inspection and hygiene can prevent amputations. The objective of this study is to evaluate the knowledge, attitude, and practise of Diabetic foot care thus to establish the baseline reference for the effective foot care education and to propose an intervention method that is suitable for various cultural, religious and local circumstances. Methods: It was a cross-sectional survey conducted on diabetic patients who are seeking health care at HUMS Polyclinic, Kota Kinabalu, Sabah. A semi-structured Knowledge, Attitude and Practice validated questionnaire were used to get the information. Results: Around 93% of 30 diabetic patients knew that the self-examination was required but only 14 patients (46%)had the proper knowledge of foot care. Only 50% of respondent knew the correct way of cutting nails. 53% of the respondents were aware of prop- er foot-ware. The attitudes towards diabetic foot care, 96% were motivated to perform self-care. Although a high percentage of patients knew about diabetic foot care, but in practice the activities such as washing (100%), proper drying (83%), moisturizing (90%) and massaging (46%) were not executed together. Regarding nail cutting, only 33% practices proper technique and only 40% uses proper foot ware. Conclusions: Early detection and recognition of high-risk feet by patients and health care providers at regular intervals should be encouraged. It is essential to improve the awareness and practice of diabetic foot care daily by patients. Effective educational strategies should be established for both the health care providers and diabetic patients to create awareness for effective foot care.
MeSH terms: Amputation; Borneo; Cross-Sectional Studies; Delivery of Health Care; Diabetes Mellitus; Humans; Malaysia; Surveys and Questionnaires; Self Care; Self-Examination; Diabetic Foot
Introduction: The Ministry of Health Malaysia over the last 20 years has initiated healthy lifestyle campaign to curb obesity but the issue has remained an escalating problem affecting Malaysians. Obesity among students in higher institute is a concern. Undergraduate student nurses as role-model advocating health, being overweight can be a problem. This study is to identify BMI status and determine associated lifestyle factors among undergraduate nurses in UMS. Methods: The study deployed a cross-sectional descriptive survey using a questionnaire to empirically asses BMI status and associated dietary and exercise practice among student nurses. Ethical clearance for the study was ob- tained from UMS`s REC and as well as respondents` consent. A total of 100(N) nursing students were selected through stratified sampling by year of study (year 1, n=35; year 2 n=35; and year 3 n=30). Random sampling for each year of study was done using full name list generated using Microsoft excel. The study tool consists of a validated instrument which captured the respondent’s demographics, BMI index, Healthy Eating Practice Index, and Exercise Practice Inventory. Results: Among the 100 student nurses in this study, 28 students had BMI index of more than 24.9 (either being overweight, obesity Type I or Type II). Students from finalYear 3are significantly overweight(p=0.03) compared to Year 1 or Year 2 students. Comparing respondents with optimum BMI and non-optimum BMI, students who are overweight had significantly poorer Healthy Eating Practice scores and poorer Exercise practice scores. Conclusion: Findings from this study imply that 1 in 4 nursing students are overweight mostly related to poor lifestyle habits. These findings raise the rhetoric and implication of overweight nurses as health care role -models and this paper will discuss some suggestions to address the issue.
MeSH terms: Animals; Cross-Sectional Studies; Delivery of Health Care; Demography; Diet; Habits; Humans; Informed Consent; Malaysia; Obesity; Surveys and Questionnaires; Students, Nursing; Exercise; Body Mass Index; Equidae; Overweight
Introduction: This study aimed to investigate the relationships between parental effort to control the child’s food intake among primary school children with parents’ ‘control’, ‘restriction’ and ‘reward’ on limiting children to eat unhealthy foods. Methods: Data were collected among 485 primary school children and their parents. Questionnaire for Obesity survey among primary school children was used to document on the child’s daily food intake for one week. Results: All predictor variables are significant at the p
Introduction: Rooted form the ancient times, having a white and a delicate skin has been a dream of all women as it is perceived as a perfect beauty. Due to this high desideratum, the global beauty industry had taken an advantage to this target group promising an instant white skin for as early as three days. Global industry analysts (GIA) pre- dicted that this year 2020 the global market for skin lighteners will reach $23 billion. Despite the effectiveness of using skin-lightening, some had reported of having adverse effect including dermatological as well as neurological. Methods: This is a quantitative study using descriptive analysis approach to all nursing students in Sabah. The type of sampling is using snowball sampling methods. A questionnaire was developed and distributed to all nursing colleges in Sabah. Results: A total of 161 nursing students responded. Based on this study, most of students start are using cos- metic product in the age of15years old. Using an open-ended question, the top three cosmetic products containing skin-lightening ingredients use by students are Safi(27.9%), Garnier (25.5%)and Simple(16.1.%). Majority experience acne (47.5%) and skin irritation (18.8%)after using cosmetic products containing skin-lightening ingredients while 36.6% did not experience any skin problem. It is about80% concern about safety when choosing skin care contain skin-lightening ingredients,76.9% will make an effort to read leaflet provided prior to purchasing, 69.4% aware about the list of dangerous ingredients in choosing skin care contain skin-lightening ingredients, 78.1% aware about its side effect. Conclusion: The outcome of this preliminary study lead to the conclusion that nursing students in Sa- bah are aware that using a cosmetic product contain skin-lightening ingredient is harmful for them.
MeSH terms: Acne Vulgaris; Beauty; Female; Humans; Malaysia; Surveys and Questionnaires; Skin; Skin Diseases; Students, Nursing; Universities; Skin Care
Introduction: Cholera is an infection caused by the bacterium Vibriocholerae that causes severe watery diarrhoea, which can lead to dehydration. Beet-roothas been shown to induce favourable outcomes and holds promise as an economic, practical natural dietary intervention in cholera. Methods: Systematic search of peer-reviewed literature on beet-root ORS and carrot ORS use for acute diarrhoea in below 6-year-old. We identified 3 studies for abstraction. Results: A study had compared a commercial carrot/rice-based ORS A (Na 52 mmol/L) and two glucose-based ORS B (Na 55 mmol/L) and C (Na 90 mmol/L). Fluid intake, faecal and urine output and absorption of fluid was measured in 161 infants and children (3-48 months old) during the first 48 hours after admission. The number of stools (p < 0.01) and the mean faecal output (p < 0.05) per kg body weight were significantly lower in group A. Children in group A also had significantly (p < 0.01) greater fluid absorption (mean 464 ml/kg) than in groups C (312 ml/kg) and B (140 ml/kg). Conclusions: While there are some promising results, this analysis indicates that the need for further investi- gation into approaches to increasing beet-root ORS and carrot ORS use.
Introduction: The final year of the study period is the time students should be in the mood of ready to enter working life. There are concerned that newly graduated nurses do not have the necessary skills and competence once they enter the working life. The final year nursing students seldom have confidence because they were not getting enough experience in the clinical posting. The soft skill and not being able to perform in the clinical area and their readiness to work in real working life. Thus, this study is to assess final year and newly graduated students’ readiness to enter the real working life environment after graduated from the institution. Methods: This study using cross-sectional sur- vey design using convenience sampling method. Adapted questionnaire is used and distributed via on-line Google form to all final year nursing and newly graduated of nursing students Universiti Malaysia Sabah. Results: Total 71 respondents (63.38% third-year and 21.12% newly graduated students) responded to this survey. 68 students (95%) were ready to enter the real working life and there were two students (5%) that still not ready to perform on their own after the course finished. Majority 70 (98.59%) find that early exposure to a real working environment was important to polish student soft skill and enhance student performance skill in doing any procedure. 96% responded that early exposure will develop student competency in leadership qualities to guide their teamwork and adaptation from the real scenario on how they will perform in their work in the future. Complete facilities in the practical area can make the student feel excited to start working in clinical area is the possible factor rated in more than half of the responded (57.7%). Conclusion: Most of the participant is ready to apply their knowledge and skill in a real working situation.
Introduction: Resilience is an important coping mechanism that nurses need to inculcate as they often faced with numerous psychosocial conflicts and stressors in providing day to day patient care. Student nurses are particularly vulnerable to psychosocial stressors and studies indicates that poor resilience is associated with poor academic performance, burn out, depression and high risk of drop out. This study was to examine the level of resilience and associated factors among nursing students in University Malaysia Sabah. Methods: The study entailed a descriptive cross-sectional survey assessing the level of resilience involving student nurses. Ethical clearance for this study was obtained from REC UMS and as well as respondent’s consent. A total of 100(N) nursing students was selected through stratified sampling by year of study (year 1, n=35; year 2 n=35; and year 3 n=30). Sample selection randomization for each year of study was done using full name list generated using Microsoft excel. The study tool consists of a validated instrument (reliability α= 0.82) benchmarked from a previous study which captured respondent`s demo- graphics and a 28-item inquiry related to resilience. Data analysis use descriptive statistics and Fisher`s-Exact test for correlates. Results: In this study among 100 nursing students 82% (n=82) had high resilience score (cut-off mean score more than 3.5) and 18% low resilience score (cut-off mean score lower than 3.4). Comparing distribution of resilience scores, respondents with low resilience scores were higher among thefirst-year nursing student and stu- dents of family origin from rural settings. Conclusion: Findings imply that most nursing students in this study have a high level of resilience and a small cohort of the student nurses have low resilience vulnerable to stressors and risk poor achievement and drop out. There is a need to address nursing students with poor resilience and this paper will discuss some pragmatic strategies.
MeSH terms: Adaptation, Psychological; Biometry; Burnout, Professional; Cross-Sectional Studies; Depression; Patient Care; Humans; Informed Consent; Malaysia; Surveys and Questionnaires; Random Allocation; Students, Nursing; Universities; Reproducibility of Results
Introduction: Promotion of internationalization of higher education is a strategic marketing in public and private Ma- laysia universities.University Malaysia Sabah (UMS) hosted the international nursing mobility programme involving 15 nursing students from Hunan and Yangtze University of China. Students from China obtained hands-on learn- ing experience and exposed to indigenous health practices in Sabah. After 12 weeks of the programme, although casual face-value audit of the mobility program was deemed adequate, there was a need to objectively gauge the Chinese student’s satisfaction and identify issue of contention that can be remedied. This study is to evaluate Chi- nese international nursing students’ satisfaction during their mobility posting tenure in UMS and identify issues of discontentment for improvement. Methods: the study entailed a cross sectional survey involving a convenient sam- ple of all 15 nursing students from China who had completed the 12-week UMS-nursing mobility programme. The study tool consisted of a 25-item questionnaire which used Likert-like statements to anchor level of satisfaction on 5 sub-domains itemsnamely; arrival orientation; logistic arrangements; learning opportunities; cultural experience and perceived worth-for-money. Results: Cumulative ratings counts from 15 Chinese international students who had participated in the UMS-nursing mobility program in this study rated the following sub-domains as satisfactory and highly satisfactory: (i) learning experience (88%), (ii) Sabah’s cultural experience (90%), (iii) worth for money (88
%). Sub-domains rated as dissatisfactory or strongly dissatisfactory by the China students were: (i) adequacy of 1st - day arrival orientation (72%), (ii) quality of logistic arrangement (72%). Conclusion: Findings imply that the China students were satisfied with the overall learning experience during the UMS-nursing mobility programme. However, areas of grievances such as the conduct of the 1st - day arrival orientation and logistics management of the UMS-mo- bility program needs to be addressed.
MeSH terms: China; Cross-Sectional Studies; Hand; Humans; Learning; Malaysia; Personal Satisfaction; Surveys and Questionnaires; Students, Nursing; Universities; Problem-Based Learning; Marketing; Asian Continental Ancestry Group; Nurses, International
Introduction: Nursing students have been educated with critical thinking in client care. However, nursing students are often considered to be lacking in critical thinking especially during their clinical experience. This is likely due to lack of knowledge of critical thinking as the opportunities for learning critical thinking (LCT) are limited and less en- couraged to use critical thinking during the teaching and learning process. Therefore, it contributes to poor learning outcomes.The aim of this study was to identify level of LCT and critical thinking disposition (CTD) among diploma nursing student of UMS. Methods: A cross sectional survey design using purposive sampling methods. Sixty (60) of 66 year3 nursing students completed aCTD Inventory for Chinese Medical College Students (CTDI-M) by Wang et al (2019) and The LCT Inventory (LCTI) and the Teaching Critical Thinking Inventory (TCTI) developed by van Zyl, M.A., Bays, C.L., & Gilchrist, C. (2013).Approval to conduct study obtained from Dean of faculty of Medicine and Health Sciences, UMS. Results: The data were analyzed through descriptive method using SPSS for window 21.0. Total score for CTD ranging from a low (M= 1.5) to a high (M=5.00), Mean value 3.86, (SD +/- .572). Total high-level CDT 58(96.7%). Total LCT scores ranging from a low (M=2.00) to high (M=5.00) and Mean value 4.02, (SD +/- .711). Total high level LCT 54(90%). The two subscale categories were analyzed for perceived LCT. Respondents reported significantly high level of both instructor helped in LCT 51(85%) and 56 (93.3%) provides support and encourage- ment in LCT, mean value 4.19 (SD+/-.713). Conclusion: The level of CTD and LCT was high, shows that nursing students perceive themselves as having a high level of critical thinking motivation, instructor providing guidance to assist and encourage to learn using critical thinking.
Introduction: Nutrition is an issue of great academic and public importance. However, there is evidence that parents do not have family breakfast, lunch or dinner with their children. This study aims to assess the prevalence of having regular family breakfast, lunch, dinner among primary school children age 7 to 12 years in Kota Kinabalu and its association with children’s weight status. Methods: The study is based on 485 children (mean age: 11.5+/-0.7 years, 54% girls) randomly selected in five primary schools in Kota Kinabalu who participated in a cross-sectional school- based survey in 2019. Data on family meals were self-reported by the parents by answering a validated question- naire. Children’s height and weight were measured to determine BMI status. Binary regression analyses assessed the associations of having regular family meals with children’s obesity status and to assess potential differences in having family meals according to gender and parental education. Results: The mean BMI male gender 24.3 ± 4.05 versus mean BMI female gender 17.9 ± 3.62 from 7 to 12 years old. The father mean BMI was 33.2 ± 8.24 versus 26.17 ±
9.63 mean BMI in mother from 32 to 52 years old. The prevalence of obesity within five (5) selected schools in Kota Kinabalu was only 13.2%. Regarding potential socio-demographic determinants, children of higher educated parents (STPM, DIPLOMA)[OR = 1.85 (95% CI 1.20–2.85)] were more likely to have breakfast together, while children of lower educated parents (SRP, SPM) [OR = 1.08 (95% CI 0.91–1.44)] were more likely to have dinner together. No significant associations of having family meals with gender observed. The prevalence of regular family meals was 94.6%, 74.17% and 93.8% for breakfast, lunch and dinner respectively. Conclusion: This study showed that having regular family breakfast, lunch and dinner was associated with children normal BMI between 18.50-24.99.
MeSH terms: Adult; Body Weight; Child; Cross-Sectional Studies; Fathers; Female; Humans; Male; Middle Aged; Mothers; Parents; Regression Analysis; Schools; Body Mass Index; Prevalence; Self Report; Meals; Breakfast; Lunch; Pediatric Obesity
Introduction: Teenage pregnancy is common and has become a key public health concern for all. This study aims to discover the meaning of lived experiences and to strategize in addressing the phenomenon from the previous or current unwed pregnant girls’ or young women’s perspective. Methods: A qualitative study was conducted among 10 girls or young women recruited during their stay at two shelters in Selangor but came from various state in Malay- sia; who have experienced becoming unwed mothers when they were between 10 to 19 years old. All participants gave informed consent. In-depth face-to-face interviews were conducted, audiotaped and transcribed. All quotes were encoded using Qualitative Data Analysis (QDA) Miner program. Data were analyzed using interpretative phe- nomenological analysis. Results: The themes emerged from the analyses; i) Trajectory of sexual activity, ii) struggles of motherhood to un-wed teenage mother. Most of these girls were pregnant due to consensual sexual intercourse although there were some refutes but their actions have led them for this to happen. They described how indirect relationship such as communication via telephone and the internet may have initiated the desire for sexual activity which led to a short first-time meeting and short term partnership, caused them to enact the sinful deed. They were overwhelmed with ambivalence feelings of wanting to terminate the pregnancy, abandon the newborn or to endure the journey of motherhood together with their ex-nuptial baby. Conclusion: The findings of this study showed that the strength of indirect relationship is able to evoke sexual desire that contributes to out-of-wedlock pregnancy. Max- imum support is needed from all; peers, parents, educators and the whole community structures.
MeSH terms: Adolescent; Adult; Child; Coitus; Communication; Emotions; Female; Humans; Illegitimacy; Infant; Infant, Newborn; Informed Consent; Libido; Malaysia; Mothers; Pregnancy; Pregnancy in Adolescence; Public Health; Sexual Behavior; Telephone; Internet; Qualitative Research; Young Adult
Introduction: Nursing is a highly stressful profession that affects the nurses’ physical and mental health. To maintain the quality of health services, nurses must have physically and mentally healthy. Given this, the present study aimed to examine the level of Stress and Psychological Well-Being among nurses and the methods used by nurses to cope with them. Methods: A self-administered questionnaire was used to assess psychological well-being and coping strat- egies with stress which include Ryff’s Psychological Well-Being (RPWB), Ways of Coping Questionnaire (WOCQ) and Nursing Stress Scales (NSS) for the data collection on 637 nurses in nine hospitals in Sabah. Results: The results revealed that the main Sources of Stress among nurses was Conflict with Other Nurses. Also, Purpose in Life was found to have the highest mean score in terms of psychological well-being among nurses. Furthermore, Positive Re- appraisal was found to be employed by nurses in dealing with stress. The study also revealed there was relationship between the sources of stress and the psychological well-being among nurses. Conclusion: Thus, to reduce work stress among nurses, hospital administration should keep themselves aware of the work dynamics and address the negative conflict occurred in nurses as soon as it is recognized. Recognizing the impact of work stress and using the technique of coping plays a vital role in minimizing the stress of nurses.
MeSH terms: Adaptation, Psychological; Health Services; Hospital Administration; Hospitals; Humans; Malaysia; Mental Health; Surveys and Questionnaires
Introduction: Illness perceptions involve personal beliefs that patients have about their illness and may influence health behaviour considerably. This preliminary study evaluates the understanding of illness perception among cardiac patients’ and correlations of each of the items. Methods: A preliminary study was conducted using the on Brief Illness Perception Questionnaire (BIPQ) in a tertiary hospital among 40 cardiac patients. Ethical approval was obtained from the institution ethical committee. There are 9 items in the BIPQ with 0-10 response scale measuring causal factors and an open-ended item. Items 1 to 5 assesses on the cognitive illness perception which comprises of consequences, timeline, personal control, treatment control and identity. Item 6 and 8 are on emotional response and item 7 is on coherence. Results: The overall mean score of the 8 items of BIPQ was 7.04 (1.07) with the highest mean for item 4 on treatment control and item 6 on personal control at 8.02 (0.92) and 7.03 (1.77) respectively while the lowest mean was item 7 on understanding at 6.63 (1.83). The causal factor for the open-ended question was mostly on consumption of fatty food intake, sedentary lifestyle and stress at work. Perceiving personal control was significantly being affected by perceiving treatment control for the cardiac disease (r=0.50) and being concerned about their cardiac symptoms was significantly related to perceiving consequences of the disease (r =0.54), perceiv- ing identity (r=0.75) and perceiving emotional control (r=0.67). Perceiving emotional control on their symptoms was significantly related to perceived consequences on cardiac disease (r=0.51), perceived identity (r=0.53) and perceived concern on cardiac disease (r=0.67). Conclusion: The results shown significant correlations with relevant outcomes measures. It is useful in clinical practice to assess and potentially modify patient’s perceptions on under- standing, emotional control, personal control, consequences and perceived concerned over their cardiac disease.
MeSH terms: Cognition; Eating; Emotions; Heart Diseases; Humans; Perception; Surveys and Questionnaires; Health Behavior; Tertiary Care Centers
Introduction: Dysmenorrhoea is the most common gynaecology problems female’s goes through in their life. In Malaysia, the overall prevalence of dysmenorrhoea is 78%. There were studies revealed that there is significant asso- ciation between dysmenorrhoea and quality of life (QoL). Female who is having dysmenorrhoea has a lower quality of life compared to others. However, most female ignore this issue as they feel it is a normal female phenomenon. Nevertheless, health education and interventions should be given to reduce dysmenorrhoea, thus improve QoL. The main aim of this research was to determine the menstrual characteristics, primary dysmenorrhoea, and their associa- tion with selected socio-demographic variables among Chinese undergraduate students. Methods: A cross-sectional study was carried out among 317 participants, aged between 19 to 25 years. Purposive sampling method was uti- lized to recruit the participants. Questionnaire on menstruationwas distributed to collect the information regarding socio-demographic background, menstrual characteristics, and primary dysmenorrhoea. Results: The incidences of primary dysmenorrhoea were reported by 63.4% (n=201)in this study. Only a few socio-demographic variableswere detected to have a significant association with menstrual characteristics and primary dysmenorrhoea. Associations between age and menstrual duration was discovered (p=0.005). Besides, menarche was associated with presence of blood clot during menstruation (P
MeSH terms: Adult; Aged; Cross-Sectional Studies; Dysmenorrhea; Female; Gynecology; Health Education; Humans; Malaysia; Menarche; Menstruation; Quality of Life; Surveys and Questionnaires; Research Design; Students; Thrombosis; Incidence; Prevalence; Asian Continental Ancestry Group; Young Adult
Introduction: Early integration in palliative care for patients with advanced cancer has been correlated with an improvement quality of life, relieved depression while having survival benefits. Negative perceptions towards pal- liative care or misconception about the idea of palliative care were reported as one of the causes for late referral by physicians. The aim of this study was to determine the knowledge and perception of palliative care among can- cer patients in a tertiary hospital. Methods: A cross-sectional survey with populations of 139 cancer patients was conducted using convenience sampling. Quantitative data were collected by a structured questionnaire. A total of 92 responses were obtained. Results: Most of the participants were female (66.3%), Malay (71.7%) and attended secondary school (56.5%). The mean age of participants was 56.13 (±12.61) years while the mean income was RM 1944.20 (±2472.70). Majority of the participants had breast cancer (37.0%), followed by colorectal cancer (32.6%). Many of them were in stage IV (42.4%), followed by stage III (25.0%).Most of the cancer patients had a high level of knowledge and positive perception towards palliative care. They agreed that psychological, social and spiritual issues are a part of palliative care which helped to manage pain and other symptoms. Besides, responses portrayed positive perceptions of palliative care through the aspect of emotional reactions, cognitive reactions and palliative care needs. Conclusions: The current study has demonstrated that cancer patients in the tertiary hospital had better knowledge and perceptions in palliative care. High knowledge level and positive perception towards palliative care might increase the acceptance and palliative care practiced.
MeSH terms: Adult; Aged; Breast Neoplasms; Cognition; Cross-Sectional Studies; Depression; Female; Humans; Malaysia; Middle Aged; Pain; Palliative Care; Perception; Physicians; Quality of Life; Surveys and Questionnaires; Referral and Consultation; Schools; Colorectal Neoplasms; Tertiary Care Centers; Hospice and Palliative Care Nursing
Introduction: The incidence of breast cancer is high among Malaysian females especially those aged 25-59 years old and from Chinese ethnic background.Breast Self-Examination (BSE) is a traditional, cost-free screening method to identify breast abnormalities likegrowth and cancer. If performed correctly and consistently, it can facilitate early detection, early treatment and better prognosis. Despite having high risk, there is insufficient evidence about the BSE knowledge level and practiceamong Malaysian Chinese females. This research determines the association between BSE knowledge level, practice and selected socio-demographic variables among the Chinese female students of a private university in Kajang. Methods: Quantitative, correlation study was conducted among 192 Chinese female students in a private university. Purposive sampling method was utilized to recruit participants. Data were collected using self-administered questionnaire and analysed in terms of frequency and percentage. Chi-Square test was used for inferential analysis with significance level, p, set at
MeSH terms: Adult; Aged; Breast Diseases; Breast Neoplasms; Female; Humans; Middle Aged; Prognosis; Surveys and Questionnaires; Students; Universities; Incidence; Chi-Square Distribution; Breast Self-Examination; Asian Continental Ancestry Group; Early Detection of Cancer
1st UMS INTERNATIONAL NURSING CONFERENCE IN CONJUNCTION WITH 11TH INTERNATIONAL NURSING STUDENTS’ FORUM
A view into the future of nursing: Nursing Transformation towards IR-4.0, Held at the Faculty of Medicine and Health Sciences,, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia, On 6-8th March 2020
Introduction: Delayed wound healing and a hefty cost of treatment poses a burden to those undergoing treatment for Diabetic wound care. An alternative wound product to speed up wound healing may address this problem. Honey has been recognized around the world for its efficacy as treating wounds, eczema, and inflammation while cinnamon has a variety of biological functions including anti-diabetic, anti-microbial, and anti-inflammatory. As both cinnamon and honey possess different properties in wound healing, it is hypothesized that combining both products can accelerate wound healing. This study is to compare the efficacy of pure honey, pure cinnamon and honey-cinnamon commixture in diabetic wound healing.
Methods: Three volunteers were selected from Kitamura clinic, Pontianak, Indonesia participated in this study. Each of them was given a different wound product which were pure honey (subject 1), pure cinnamon extract (subject 2), and honey-cinnamon commixture (subject 3). The wound bed percentage, size, and characteristics were recorded and compared. Results: Usage of pure cinnamon was discontinued during the second visit due to its drying effect. Subjects 1 and 3 both presented with an increase in granulation and reduction in sloughing of cells and biofilm. However, subject 3 showed faster wound contraction and reduction in maceration as compared to subject 1.
Conclusion: Pure cinnamon extract should not be used as a standalone wound product due to its drying properties. However, topical co-administration of honey and Cinnamon cassia extract has a synergistic interaction effect, improves wound healing in diabetic individuals and is recommended as a new topical herbal drug production for treating of the diabetic wound. Further studies on the therapeutic concentration of honey-cinnamon commixture should be conducted.
Introduction: Phototherapy is the primary treatment for neonatal jaundice and is evaluated via total serum bilirubin (TSB) level. Hanging white material around phototherapy unit can multiply energy delivery by many folds. This study is to evaluate the effect of hanging white bedsheet around phototherapy unit on the reduction of TSB level. Methods: Comparative interventional study was conducted in two public hospitals. 200 eligible neonates with hyperbiliru- binemia were recruited and assigned to intervention (n=100) and control group (n=100). Neonates assigned into intervention group were nursed under phototherapy with the addition of white bedsheet hanging around the unit while the control group were nursed under phototherapy with non-white curtains. Results: Mothers’ blood group (x = 3.75, p = .29), neonates’ blood group (x = 2.87, p = .41), birth weight (t = 1.41, p = .16), baseline total serum bilirubin (TSB) level (p = .08), baseline irradiance of phototherapy prior to the hanging of curtains (p = .13) and hours of phototherapy (p = .53). The mean for TSB level in intervention and control group at 24 hours was 235.82µmol/L and 208.67µmol/L respectively. The mean difference in TSB level between intervention and control group was sta- tistically significant at 24 hours (x = 27.15, t = 4.56, p < .001) and 48 hours (x = 19.27, t = 2.32, p = .02) after initi- ation of phototherapy. Conclusion: The baseline and demographic characteristics of the neonates and mothers were comparable between the intervention and control group. The TSB level at 24 hours and 48 hours were significantly lower in control group if compared to the intervention group. Therefore, hanging white bedsheet did not significantly hasten the reduction of TSB level when compared to ordinary non-white curtains.
1st UMS INTERNATIONAL NURSING CONFERENCE IN CONJUNCTION WITH 11TH INTERNATIONAL NURSING STUDENTS’ FORUM. A view into the future of nursing: Nursing Transformation towards IR-4.0
Held at the Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia. On 6-8th March 2020
Introduction: Vaping is a use of electronic devices which do not produce smoke or steam, rather an aerosol consisting of fine particles, containing varying amounts of propylene glycol, glycerine, flavourings and other chemicals. It is battery-powered devices that mimic the action of smoking. In Malaysia, vaping has become a major trend. Videos are going viral on social media showing school students in uniform proudly puffing away. The aim of this study was to find out the acceptance of vaping among medical and nursing students.
Methods: A descriptive cross-sectional study with multiple stage of sampling technique on population of 624 medical and nursing students. Total samples were 389, by Krejci Morgan (1970) sampling technique. Structured questionnaires by A. Gorukanti (2018) with 15 items consisted of knowledge, attitude and acceptance and attitude and believe as data collection tools.
Results: Results showed 9% to 10% of respondents are still smoking, they believed e-cigarette is safe and would not affect one’s health, as it is a water-based product trademarked. They also regard e-cigarette a way of quitting or cutting down smoking.
Conclusion: 10% of respondents consistently believed e-cigarettes is harmless. Although the percentage may look small but the impact on the public is huge. However, 90% strongly agreed e-cigarettes ‘vapour is dan- gerous to babies and kids. What concerns us is the consistent group of the 10%, are students who will become our healthcare providers in the future. Their strong-belief in vaping will influence the future of the public understanding, “If doctors and nurses said vaping is safe ... it is safe… right? why not. which is harmful. However, this study has impelled us not only to look at the strength and the significance outcomes of study and neglecting the trifle ones that may prime to serious healthcare consequences of the future society.
MeSH terms: Borneo; Cross-Sectional Studies; Humans; Health Knowledge, Attitudes, Practice; Malaysia; Surveys and Questionnaires; Smoking; Students, Medical; Students, Nursing; Social Media; Tobacco Products; Electronic Cigarettes*; Vaping
Introduction: Nursing documentation is the key to nursing care in hospitals. Nursing documentation contains ev- idences which demonstrate a significant association between the comprehensive level of nursing care and nurses’ professional practice. Therefore, nurses in Malaysia are trained to abide with the code of professional practice (1998) which required them to contrive a complete and comprehensive nursing documentation. Despite the importance of nursing documentation in the nursing professional practice, such study almost non-existent in Malaysia. Hence, there is a need to explore nurses understanding about existence of professionalism within their documentation, from a Malaysian context. Methods: The study utilized a qualitative approach which aimed to explore the perceptions among nurses in Malaysia on their documentation with relation to professionalism in nursing. Forty semi structured interviews were conducted in order to obtain an understanding of nurses’ views on their documentation and its influ- ence on their ways of preparing and completing their documentation. Thematic analysis was used to identify catego- ries and themes in nurses’ accounts of their documentation with relation to professionalism in nursing. Results: One of many profound findings from the study is the fear among nurses of “blaming culture” in that occurs their clinical setting. The nurses perceive “blaming culture” do not tolerate mistakes and they are more likely to be blamed for poor patient safety and insufficient quality of care. This is because nurses are directly involved in delivering care to patient or client in the hospital. “Blaming culture” however motivates nurses to ensure their documentation is com- plete, comprehensive and contemporaneous. Conclusion: Interestingly, the nurses perceive their documentation as an important evidence if there are possible future medical legal issues that they might have to involve with.
MeSH terms: Professionalism; Documentation; Fear; Hospitals; Humans; Malaysia; Motivation; Perception; Professional Practice; Quality of Health Care; Patient Safety